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209077 05/22/2012 \4� CITY OF CARMEL, INDIANA VENDOR: 00353001 Page 1 of 1 ONE CIVIC SQUARE CTW ELECTRICAL CO INC �?o CARMEL, INDIANA 46032 601 SAYRE COURT CHECK AMOUNT: $70.00 GREENWOOD IN 46143 CHECK NUMBER: 209077 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1I10457501 70.00 REPAIR PARTS CTW Electrical Co., Inc. cc;ml 601 Sa Court I N V 0 1 C E Greenwood, IN 46143 800/428 -3004 Fax: 800/833 -7134 UPC V INVOICE DATE INVOICE NO. http: /www.ctwinc.com 000000 05/03/12 1104575 -01 3350 Ship To: Carmel Street Dept. P.O. No. PAGE a 3400 West 131st St. KEVIN /ED 1 Carmel, IN 46074 Remit To: CTW Electrical Co., Inc. 601 Sayre Court Greenwood, IN 46143 Bill To: Carmel Street Dept. 3400 West 131 st St. INSTRUCTIONS Carmel, IN 46074 SHIP POINT VIA SHIPPED TERMS CTW Electrical Co., Inc. UPS Comm -NFT 05/03/12 Net 30 Days SALESREP SALESREP -NAME Et 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 1 ET- 2515 -30BK 00000 4 0 4 each 17.50 70.00 Tape 1 Lines Total Qty Shipped Total 4 Total 70.00 Invoice Total 70.00 Last Page Discrepancies in shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order items. Items must be received in same packaging and quantity as shipped. Re- stocking charges may apply. Purchaser will be liable for interest, legal and collection costs if account is placed into collections. VOUCHER NO. WARRANT NO. CTW Electrical ALLOWED 20 IN SUM OF 601 Sayre Ct. Greenwood, IN 46143 $70.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member: 2201 I 11104575 -01 I 42- 370.00 I $70.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursdays /May 17, 2012 U Street Commissioner CtrPPt (,nnimissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/03/12 11104575 -01 $70.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer